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印度北阿坎德邦成年人群尸检时组织学排除异常后器官重量的初步研究。

A Preliminary Study of Organ Weight After Histological Exclusion of Abnormality During Autopsy in the Adult Population of Uttarakhand, India.

作者信息

Vaibhav Vikas, Meshram Raviprakash, Shukla Pawan Kumar, Kalonia Tushar, Bhute Ashish R

机构信息

Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Raipur, Raipur, IND.

出版信息

Cureus. 2022 Jul 19;14(7):e27044. doi: 10.7759/cureus.27044. eCollection 2022 Jul.

Abstract

Organomegaly can be a strong predictor of an underlying pathological condition. There are many standard tables available in various texts listing the normal organ weight range, yet there is a lack of a standard table that is accepted globally. The main reason behind this is variation in organ weight due to socioeconomic status, geographical variation, and racial and stature variation among different global populations. The Western population has different stature compared to our population, that is, residents of Uttarakhand, India. Different studies tabulated organ weights in different regions of the world and correlated with different bodily parameters such as sex, race, stature, BMI, etc, which have shown a significant variation. There are different sets of data available that cannot be accepted universally due to regional variation. Most of the studies done in various parts of the world do not specify the condition of the organ, whether it was normal at the time of study or not. The methods of dissection of organs were also not explained in different studies. In this study, a total of eight organs were weighed from 137 autopsies conducted at the mortuary of the All India Institute of Medical Sciences Rishikesh over a period of 1.5 years. It was found that the average brain weighed in males was 1313.2 gm (±127.7 gm) and among females, it was 1218.0 gm (±122.82 gm). The weight of the heart was 310.1 gm (±83.97 gm) in males and 241.2 gm (±71.42 gm) in females. Right and left lungs weighed 499.4 gm (±207.5 gm)/407.5 gm (±128.66 gm) and 459.6 gm (±179.19 gm)/369.4 gm (±144.17 gm) among males and females, respectively. The liver weight was 1477.0 gm (±370.52 gm) in males and 1309.0 gm (±274.18 gm) among females. Spleen weighed 154.0 gm (±74.63 gm) in males and 156.0 gm (±65.0 gm) in females. The right and left kidneys weighed 125.9 gm (±37.92 gm)/108.1 gm (±28.80 gm) and 126.3 gm (±31.26 gm)/106.6 gm (±22.4 gm) among males and females, respectively. In our study, we have done a histological examination to rule out any pathological condition before including the weight of the organs in the study. The present study is to derive a standard organ weight among the inhabitants of Uttarakhand, India, and to look for a variation in organ weight among different studies done in the past in different regions of the world.

摘要

器官肿大可能是潜在病理状况的有力预测指标。各种文献中有许多标准表格列出了正常器官重量范围,但缺乏一个全球公认的标准表格。其背后的主要原因是不同全球人群之间由于社会经济地位、地域差异以及种族和身高差异导致器官重量有所不同。与我们的人群(即印度北阿坎德邦的居民)相比,西方人群的身高不同。世界不同地区的不同研究将器官重量制成表格,并与不同的身体参数(如性别、种族、身高、体重指数等)相关联,结果显示存在显著差异。由于地区差异,现有的不同数据集无法被普遍接受。世界不同地区进行的大多数研究都未说明器官的状况,即在研究时器官是否正常。不同研究中也未解释器官的解剖方法。在本研究中,在1.5年的时间里,对全印医学科学研究所瑞诗凯诗分院停尸房进行的137例尸检中的总共八个器官进行了称重。结果发现,男性的平均脑重为1313.2克(±127.7克),女性为1218.0克(±122.82克)。男性心脏重量为310.1克(±83.97克),女性为241.2克(±71.42克)。男性左右肺重量分别为499.4克(±207.5克)/407.5克(±128.66克),女性为459.6克(±179.19克)/369.4克(±144.17克)。男性肝脏重量为1477.0克(±370.52克),女性为1309.0克(±274.18克)。男性脾脏重量为154.0克(±74.63克),女性为156.0克(±65.0克)。男性左右肾重量分别为125.9克(±37.92克)/108.1克(±28.80克),女性为126.3克(±31.26克)/106.6克(±22.4克)。在我们的研究中,在将器官重量纳入研究之前,我们进行了组织学检查以排除任何病理状况。本研究旨在得出印度北阿坎德邦居民的标准器官重量,并寻找过去世界不同地区进行的不同研究中器官重量的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc61/9389143/dbd4791259a3/cureus-0014-00000027044-i01.jpg

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